NPI | 1801216833 |
---|---|
Former Name | VERONICA CONCEPCION MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 89775) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 68286) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2021-12-02 |